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` 7 r <br /> 't�j �`' A �j��4 �l� �.� ��e� �� ����`rv• !���' :�.�� ��1� � �rlj��''•. <br /> � _ a - __ _ _ '�:.:�' �,.�~ Q -.� <br /> _, _ , <br /> - � . � <br /> � <br /> � = � ,�: `�� <br /> �:r� �� .��� �,�� <br /> �� �.� W�j�..`� <br /> ���`"�"��� � �' The United States Government -��. <br /> � � � <br /> Ce�tificafe to Obfain Title to a Vehicle ��: .� <br /> (Must Be Machine Prepared. See Instructions on reverse.) ❑ D�plicate If Checked ' <br /> The undersigned Department or Agency of the United States Govemment certifies that the vehicle <br /> described herein, the property of the United States Government, has been transferred thisig.I'� day of <br /> nr.Tnr�FF• 20�:�, to the Transferee designated herein; and that this is the first transfer of such <br /> vehicle in ordinary trade and commerce subsequent to acquisition thereof by the United States , <br /> Govemment. � r <br /> Vehicle Identification No. � Ce ificate No. <br /> • � 61FBF'S—C��—c_�c_j�, 15.; - <br /> i <br /> � Year Make of Vehicle � Series or Mode! 8a�y Siyie <br /> ���3�4 <br /> G T CHNE�; M 1 i��� Tf;t�I L_E�: <br /> Fuel No. of Gylinders Weight(Shipping� GVWR Purchase Price f <br /> 1 <br /> $300.00 ti <br /> Transferor�ncc«,nra�omce,i.e.,departmerrt or agency,subunR ard address,z�P code� Tf8l1Sf9l99(Name of dealer,indivldual,etc.and eddress includln iP coee> � <br /> GENE�;AL �EFiUICES AD!''IIIV bF�I�--�` Royal R Stubbs �J �,J��' <br /> F'H:81 b-8z3-37z��i�;FAX :t�2�-37!:�1 225 So Old Crystal Bay R �� ,��j <br /> 1�i�}c:� E F�Al�IN I S1"EFi FiD, RM 1 1 C�2 Long Lake MN 55356 <br /> k::ANSAS C I TY t°IO 641 a�1 �, � �, <br /> � � pP . ,,� ��� <br /> � �� �t� <br /> ��" �" � <br /> Date of Statement <br /> Odometer Disclosure Statement �{; ,���z,� <br /> Federal Law (and State law, if applicable) requires that you state the mileage upon transfer of ownership; failure <br /> to complete,or providtng a false statement may result in fines and/o� imprisonment. <br /> �� GEIVERAL �EF:V I CES ADM I N bFE�D--F' <br /> state that <br /> Transferor's Name(Seller) <br /> the odometer now reads mlles and to the <br /> Odometer Reading(No Tenths) <br /> best of my knowledge that It reflects the actual mlleage of the vehlcle descrlbed above, unless one of the following <br /> statements Is checked. <br /> �(1) I hereby certlfy that to the best of my knowledge the odometer reading reflects the <br /> amount of mlleage In excess of Its mechanlcal Ilmlts. <br /> ❑ � <br /> (2) I hereby certlty that the odometer reading is not the actual mlleage: <br /> WARNING - ODOMETER DISCREPANCY. <br /> Transferor's Si nat ( Iler) Printed Na e(N t Typed)and T' le Date <br /> , <br /> - � .� � <br /> ' � � "" C4L�. �t�/�.g/C3c.', <br /> � �. /� �,�� / <br /> `G�- ���^r x:>" ��/C ��-' l� �l <br /> r nsferee's Signature(Buyer) Printed Name(Not Typed)and Title Date <br /> � s � `�L � , ��Z,t q ������ <br /> B 8 6 2 4 0 7 ANY ALTERATION OR ERASURE I STANDARD FORM 97(Re¢9-99) . <br /> Prescribed by GSA FPMR(41 CFR)101-45.303-3 � <br /> VOIDS THIS CERTIFICATE P'°�'o�s Fd�ro�No��S�abie NSN�S4o-oo-ssa-aoa� <br /> � -- _ _ . -__ __ s�-ia9 <br /> _.._- _ __._._ <br /> A _ ---- ---- — <br /> . ,;;r . - . � . <br /> . , . <br /> , . . . .• - . . <br /> - _ - - _ .�. <br />